中国康复理论与实践2025，Vol.31Issue(10)：1121-1127,7.DOI:10.3969/j.issn.1006-9771.2025.10.002
不同时序经颅直流电刺激联合坐位太极拳云手对脑卒中偏瘫患者脑皮质激活影响的功能性近红外光谱研究
Effect of transcranial direct current stimulation combined with seated Taijiquan Yunshou in different sequences on cerebral cortical activation in stroke patients with hemiplegia:a functional near-infrared spectroscopy study
摘要
Abstract
Objective To investigate the immediate effect of transcranial direct current stimulation(tDCS)combined with seated Tai-jiquan Yunshou training under different sequences on cerebral cortical activation in stroke patients with hemiple-gia. Methods From September to December,2024,14 stroke inpatients with hemiplegia were enrolled from the Fifth Hospi-tal of Xiamen.Based on the routine medication and rehabilitation,the patients were randomly assigned to a spe-cific intervention sequence,receiving three interventions in a fixed order:tDCS followed by Yunshou(S-Y group),Yunshou followed by tDCS(Y-S group),and simultaneous tDCS and Yunshou(Sim group).Functional near-infrared spectroscopy was used to detect oxyhemoglobin(HbO₂)concentration in bilateral sensorimotor cor-tex,premotor and supplementary motor cortex,and prefrontal cortex before and after each intervention. Results Three patients dropped out.In all the regions of interest,inter-group effects were significant in HbO₂ concentra-tions(F>3.697,P<0.05),and interaction effects were significant in some brain regions(F>3.276,P<0.05).Post-hoc test showed a general trend of Sim Group≥S-Y Group>Y-S Group(P<0.05),although some varia-tions existed across different brain regions. Conclusion Both simultaneous intervention(tDCS and Yunshou)and tDCS followed by Yunshou are more effective on immediate activation of key motor-related cortices in stroke patients with hemiplegia than Yunshou followed by tDCS intervention.关键词
脑卒中/偏瘫/经颅直流电刺激/太极拳/云手/功能性近红外光谱/脑-肢体协同调控技术Key words
stroke/hemiplegia/transcranial direct current stimulation/Taijiquan/Yunshou/functional near-infrared spectroscopy/brain-limb coordinated rehabilitation分类
临床医学引用本文复制引用
许琦,郑丁炤,牛镇远,杨雅玲,温卫友,许璟胜,吴龙强,吴帆,燕铁斌..不同时序经颅直流电刺激联合坐位太极拳云手对脑卒中偏瘫患者脑皮质激活影响的功能性近红外光谱研究[J].中国康复理论与实践,2025,31(10):1121-1127,7.基金项目
1.福建省科技计划项目(No.2022Y01020084) （No.2022Y01020084）
2.国家自然科学基金项目(No.81772447) Supported by Fujian Science and Technology Research Planning(No.2022Y01020084)and National Natural Science Foundation of China(No.81772447) （No.81772447）
